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Creating the Conditions for a More Powerful Relationship
Between Citizens and HealthRoz Davies and Lisa Cox
We are both Patients, Volunteers and Employed in Health, and… People
The Science Bit: The Health System conundrums we face
together A transformational Model of Participation for
health Our Stories
Altogether Better… Lisa’s Amazing Story
Learning to Share Our Call to Action
What we would like to share today..
The Health System Conundrums
Competent ConsumerIndustrialising the Local MagicResources and Capacity
Health and Well-beingAmbivalence/Resistance to ChangeLegitimacy of Decision-making
Empowered Citizen
Increase Confidence
More Informed
Better Connected
Culture of Co-production Better Health
and Well-being:LifestyleSelf Care
Self Management
Shared Ownershi
p of My Health and
My NHSShared Decision Making on an Individual Level
Collective Active Citizenship in My Community
Social Movement and Transformational Change in the Relationship Citizens have with Health and the Health System
Transformational ChangePrinciples of Empowerment Active Citizenship (individual –collective-social movement)
A Paradigm Shift in Participation:From consultation to co-production
Salutogenesis Empowerment Self Efficacy Co-Production
At national scale?
Altogether Better Case Study17,000
CHCs supportin
g 105,000 others
SROI Up to £112 saved for every
£1 GP Appt £25Walk In £63A&E <£117
Confidence Self EsteemKnowledge
Social Capital
Self management
Self CareLifestyleMental & Emotional
Many communiti
es and Health
Outcomes
+Clinician and Patient led Framework
+ Information &Technology
Lisa
What Does Great Participation Look Like?
What this model is Strength Based Approach Relationships Valued Shared Purpose and
Responsibility Issues, Ideas and Solutions can
come from anyone Create the conditions for
conversations where everyone feels powerful together
Reaching deeper into communities to bring in new voices/perspective
Individual and Collective A Well-being Model
What this model is not Tick Box Exercise Sending out closed/loaded question
surveys 1 Lay member who is ex professional
NHS in a room full of Staff Presenting draft plans for views Separate decision making with
reference to Patient Groups to tinkering around the edges
Paternalistic Only Existing Patients and Panel of
usual suspects Free Simply about accountability A medical model
How can we create the conditions for a new Powerful Relationship Between
Citizens and Health together? Individually and Collectively make people, values,
relationships and responsibility as or more important than system, policy, process and accountability
Joined Up Leadership from All who care and understand A clear co-produced ‘gold standard’ or frame for participation
owned by active citizens, clinicians and ‘enablers’ A ‘marketplace’ for connecting active citizens, clinicians,
enablers and pioneers with learners where ideas, knowledge, experience can be shared
Translate the value, purpose, methodologies into the languages of the many different stakeholders who can make a difference
Citizens, Patients, Public, PEOPLEWe already are (at) the heart of decision making
We are the shareholders, we are growing as competent consumers and beginning to co-produce the NHS
With the reforms, the global financial, social and political climate and the technology potential we have a window of opportunity to create the conditions for a powerful new relationship between
citizens and health
Without us, there is no NHS, with us there could be a
great NHS!